Narcissistic Personality (NPD) Therapists in Philadelphia, PA

Photo of Sheri Fay, LMFT, LPC, Marriage & Family Therapist
Sheri Fay
Marriage & Family Therapist, LMFT, LPC
Verified Verified
Philadelphia, PA 19102  (Online Only)
I have an LPC and an LMFT and have been seeing clients since 1996. I have extensive training in helping people who are going through or have experienced narcissistic abuse and any form of childhood trauma, this includes verbal and emotional abuse, family addictions, or any early childhood experience that would cause one to feel unsafe. I am also experienced in the treatment of anxiety, worry and mood concerns and work with addictions, obsessive compulsive behaviors and any poor coping skills or core beliefs that were developed in order to manage these stressors.
I have an LPC and an LMFT and have been seeing clients since 1996. I have extensive training in helping people who are going through or have experienced narcissistic abuse and any form of childhood trauma, this includes verbal and emotional abuse, family addictions, or any early childhood experience that would cause one to feel unsafe. I am also experienced in the treatment of anxiety, worry and mood concerns and work with addictions, obsessive compulsive behaviors and any poor coping skills or core beliefs that were developed in order to manage these stressors.
(484) 946-4562 View (484) 946-4562
Photo of Alisa Stamps, MSS, LCSW, Clinical Social Work/Therapist
Alisa Stamps
Clinical Social Work/Therapist, MSS, LCSW
Verified Verified
8 Endorsed
Philadelphia, PA 19102
McBride's five-step recovery model for treating adult children of narcissistic parents.
You look in the mirror and see the "bad" traits. That you're not thin enough, not righteous enough, not "good" enough. You realize that these traits were projected there by someone else--a partner, or maybe even a parent. You want to recover from perhaps a lifetime of emotional pain and narcissistic abuse but you don't know where to begin...I specialize in treating adult children of narcissists, cult abuse/religious trauma survivors, and those struggling with disordered eating and body image issues. I can support you in developing your inner strengths so that when you look in the mirror it will be your true self staring back at you.
McBride's five-step recovery model for treating adult children of narcissistic parents.
You look in the mirror and see the "bad" traits. That you're not thin enough, not righteous enough, not "good" enough. You realize that these traits were projected there by someone else--a partner, or maybe even a parent. You want to recover from perhaps a lifetime of emotional pain and narcissistic abuse but you don't know where to begin...I specialize in treating adult children of narcissists, cult abuse/religious trauma survivors, and those struggling with disordered eating and body image issues. I can support you in developing your inner strengths so that when you look in the mirror it will be your true self staring back at you.
(267) 642-5396 View (267) 642-5396
Photo of Sara Johnson, MA, LAPC, NCC, Pre-Licensed Professional
Sara Johnson
Pre-Licensed Professional, MA, LAPC, NCC
Verified Verified
Philadelphia, PA 19102
If you'd like to be free from relational trauma, I would love to help you. I specialize in anxiety, depression, emotional and narcissistic abuse, Trauma/PTSD, ACA / ACoA recovery for adult children of alcoholics and family dysfunction, Personality Disorders, and ADHD. I've worked in substance abuse recovery for 8 years and led a group for adults with ADHD with the national organization CHADD for 3 years. I work with abuse survivors and I lead an ongoing group for recovery from gaslighting, narcissistic and emotional abuse, betrayal trauma, and intimate partner violence. If you're going through hell, keep going.
If you'd like to be free from relational trauma, I would love to help you. I specialize in anxiety, depression, emotional and narcissistic abuse, Trauma/PTSD, ACA / ACoA recovery for adult children of alcoholics and family dysfunction, Personality Disorders, and ADHD. I've worked in substance abuse recovery for 8 years and led a group for adults with ADHD with the national organization CHADD for 3 years. I work with abuse survivors and I lead an ongoing group for recovery from gaslighting, narcissistic and emotional abuse, betrayal trauma, and intimate partner violence. If you're going through hell, keep going.
(215) 910-4075 View (215) 910-4075
Photo of Melody Dascanio, MS, NCC, C-PD, CCTP-II, LPC, Licensed Professional Counselor
Melody Dascanio
Licensed Professional Counselor, MS, NCC, C-PD, CCTP-II, LPC
Verified Verified
Philadelphia, PA 19103  (Online Only)
Will I ever be good enough?....Maybe I AM the crazy one?... Have you had these thoughts? Are you anxious, depressed, a chronic people pleaser? Have your "loved ones" blamed you for "everything that is wrong"? Do you hate the way they act around you, but then a few memories of when they were nice make you feel guilty for having those thoughts (cognitive dissonance)? This is all normal if you have experienced narcissistic abuse or emotionally immature parents. This is where I come in. Healing is a real possibility. You deserve it and I'm dedicated to helping you move from surviving to thriving!
Will I ever be good enough?....Maybe I AM the crazy one?... Have you had these thoughts? Are you anxious, depressed, a chronic people pleaser? Have your "loved ones" blamed you for "everything that is wrong"? Do you hate the way they act around you, but then a few memories of when they were nice make you feel guilty for having those thoughts (cognitive dissonance)? This is all normal if you have experienced narcissistic abuse or emotionally immature parents. This is where I come in. Healing is a real possibility. You deserve it and I'm dedicated to helping you move from surviving to thriving!
(484) 380-9979 View (484) 380-9979
Photo of Sarah Ullman - Dr Sarah Ullman, PhD, Licensed Professional Counselor
Dr Sarah Ullman
Licensed Professional Counselor, PhD
Verified Verified
Philadelphia, PA 19103  (Online Only)
Issues of shame, fear of abandonment, betrayal, intimacy, attachment, roller-coaster relationships, uncontrollable anger, explosive rage, impulsivity, that can result in narcissistic or borderline behaviors and the need to medicate these painful, out of control emotions.
I believe in the power of research-driven, neuroscience-based treatment because healing begins with knowing. I am a neuroscience-trained cognitive-behaviorist with a PhD in clinical psychology, and 40 years of clinical expertise in the assessment and psychotherapy for problems with PTSD, Childhood Trauma, and Addiction, for individuals and couples including veterans and active-duty military. If you suffer from trauma or addiction (drugs, alcohol, sex, gambling, pornography, internet/gaming), you are welcome to be seen in my office, anywhere in the country, or around the world through telehealth web-therapy.
Issues of shame, fear of abandonment, betrayal, intimacy, attachment, roller-coaster relationships, uncontrollable anger, explosive rage, impulsivity, that can result in narcissistic or borderline behaviors and the need to medicate these painful, out of control emotions.
I believe in the power of research-driven, neuroscience-based treatment because healing begins with knowing. I am a neuroscience-trained cognitive-behaviorist with a PhD in clinical psychology, and 40 years of clinical expertise in the assessment and psychotherapy for problems with PTSD, Childhood Trauma, and Addiction, for individuals and couples including veterans and active-duty military. If you suffer from trauma or addiction (drugs, alcohol, sex, gambling, pornography, internet/gaming), you are welcome to be seen in my office, anywhere in the country, or around the world through telehealth web-therapy.
(484) 469-9632 View (484) 469-9632
Photo of Brian Joseph Nuckols, LPC Intern
Brian Joseph Nuckols
LPC Intern
Verified Verified
Philadelphia, PA 19118
I specialize in treating issues stemming from narcissistic abuse, complex trauma, childhood PTSD.
I specialize in working with people suffering from Childhood PTSD & narcissistic abuse. If you're seeking a fresh approach to healing from narcissistic abuse, complex trauma, or childhood PTSD, you're in the right place. I focus on addressing the root causes of these experiences, not just the symptoms. I enjoy working with clients to uncover deeper issues and use body-based and relational methods for profound healing. Together, we'll develop vibrant, healthy coping mechanisms for sustainable recovery and a fulfilling life. I will never ask you to abandon a coping mechanism without first he
I specialize in treating issues stemming from narcissistic abuse, complex trauma, childhood PTSD.
I specialize in working with people suffering from Childhood PTSD & narcissistic abuse. If you're seeking a fresh approach to healing from narcissistic abuse, complex trauma, or childhood PTSD, you're in the right place. I focus on addressing the root causes of these experiences, not just the symptoms. I enjoy working with clients to uncover deeper issues and use body-based and relational methods for profound healing. Together, we'll develop vibrant, healthy coping mechanisms for sustainable recovery and a fulfilling life. I will never ask you to abandon a coping mechanism without first he
(412) 903-3606 View (412) 903-3606
Photo of Paula Jo Lynch, LPC, ATR, Licensed Professional Counselor
Paula Jo Lynch
Licensed Professional Counselor, LPC, ATR
Verified Verified
1 Endorsed
Philadelphia, PA 19019
Paula Jo is an LPC and ATR (art therapist) and offers online telehealth and is skilled at working with clients struggling with narcissistic personality disorder abuse, death and dying, grief, anxiety, and depression.
Paula Jo employs eclectic styles to motivate and empower through the stages of change and assist in healing and emotional regulation. Working through talk therapy and/or art therapy directives designed to allow the client to get to the root of trauma and assist in the processing of that trauma. Paula Jo works through the online platforms Grow, Alma, Brightside, and Headway which all accept different insurances. Please look for her on the site that takes your insurance. Look also for her Google page which has 30 (5) star reviews and growing. Paula Jo looks forward to helping you on your journey to healing.
Paula Jo is an LPC and ATR (art therapist) and offers online telehealth and is skilled at working with clients struggling with narcissistic personality disorder abuse, death and dying, grief, anxiety, and depression.
Paula Jo employs eclectic styles to motivate and empower through the stages of change and assist in healing and emotional regulation. Working through talk therapy and/or art therapy directives designed to allow the client to get to the root of trauma and assist in the processing of that trauma. Paula Jo works through the online platforms Grow, Alma, Brightside, and Headway which all accept different insurances. Please look for her on the site that takes your insurance. Look also for her Google page which has 30 (5) star reviews and growing. Paula Jo looks forward to helping you on your journey to healing.
(814) 458-1690 View (814) 458-1690
Photo of Esra Nihan Bridge, LMFT, Marriage & Family Therapist
Esra Nihan Bridge
Marriage & Family Therapist, LMFT
Verified Verified
3 Endorsed
Philadelphia, PA 19019
As a culturally competent therapist with extensive international experience, I enjoy working with individuals and couples from all backgrounds. My practice encompasses a wide range of clients, with a specialization in addressing relationship issues, family conflicts, relational trauma, and narcissistic abuse recovery. As a Licensed Couple and Family Therapist in both PA and NJ, I provide therapy sessions online and in person.
As a culturally competent therapist with extensive international experience, I enjoy working with individuals and couples from all backgrounds. My practice encompasses a wide range of clients, with a specialization in addressing relationship issues, family conflicts, relational trauma, and narcissistic abuse recovery. As a Licensed Couple and Family Therapist in both PA and NJ, I provide therapy sessions online and in person.
(215) 273-3556 View (215) 273-3556
Photo of Dr. Erica Liebman, PsyD, MA, Psychologist
Dr. Erica Liebman
Psychologist, PsyD, MA
Verified Verified
3 Endorsed
Philadelphia, PA 19103
Your most well-intentioned friend or internet guru might have you believe that fixing your problems is a quick process that involves simple mantras and just doing things differently. In contrast, I believe that it is possible in time and in the context of developing a genuine and safe therapeutic relationship, for you to feel understood, cared for and free to express yourself while creating change. My clinical experience lies in helping those through relationship troubles, uncomfortable and painful feelings, addiction to substances, feelings of depression and anxiety, or just a quiet sense that something is not right.
Your most well-intentioned friend or internet guru might have you believe that fixing your problems is a quick process that involves simple mantras and just doing things differently. In contrast, I believe that it is possible in time and in the context of developing a genuine and safe therapeutic relationship, for you to feel understood, cared for and free to express yourself while creating change. My clinical experience lies in helping those through relationship troubles, uncomfortable and painful feelings, addiction to substances, feelings of depression and anxiety, or just a quiet sense that something is not right.
(484) 265-9020 View (484) 265-9020
Photo of Brighid Shea, Pre-Licensed Professional
Brighid Shea
Pre-Licensed Professional
Verified Verified
Philadelphia, PA 19107
I am a Resident Professional Counselor with over 5 years of experience in the mental and behavioral health field. I am committed to creating a safe and collaborative space for adolescents, adults, and families to deepen their understanding of themselves and those around them. I am passionate about supporting clients with complex trauma histories, attachment and relationship concerns, life transitions, and mood disorders. I believe that lasting change is only possible when clients feel seen and understood for who they are, and I am dedicated to nurturing a therapeutic relationship that meets the needs of each client.
I am a Resident Professional Counselor with over 5 years of experience in the mental and behavioral health field. I am committed to creating a safe and collaborative space for adolescents, adults, and families to deepen their understanding of themselves and those around them. I am passionate about supporting clients with complex trauma histories, attachment and relationship concerns, life transitions, and mood disorders. I believe that lasting change is only possible when clients feel seen and understood for who they are, and I am dedicated to nurturing a therapeutic relationship that meets the needs of each client.
(267) 719-1851 View (267) 719-1851
Photo of Mariah Williams, Pre-Licensed Professional
Mariah Williams
Pre-Licensed Professional
Verified Verified
Philadelphia, PA 19103  (Online Only)
I am a Pre-Licensed Clinical Counselor with 2 years of experience working in the field. I have worked with a wide age range, from children to adults, and specialize in trauma, crisis intervention, anxiety, depression, panic disorders, and life transitions. As someone with a physical disability, I have personal experience with adapting to unique obstacles and finding creative ways to transition through unexpected challenges. I hope these experiences provide a more empathetic understanding of my clients’ struggles and enhance our collaborative work together.
I am a Pre-Licensed Clinical Counselor with 2 years of experience working in the field. I have worked with a wide age range, from children to adults, and specialize in trauma, crisis intervention, anxiety, depression, panic disorders, and life transitions. As someone with a physical disability, I have personal experience with adapting to unique obstacles and finding creative ways to transition through unexpected challenges. I hope these experiences provide a more empathetic understanding of my clients’ struggles and enhance our collaborative work together.
(215) 398-6519 View (215) 398-6519
Photo of Lauren Lowe, LCSW, Clinical Social Work/Therapist
Lauren Lowe
Clinical Social Work/Therapist, LCSW
Verified Verified
Philadelphia, PA 19103  (Online Only)
I am a Licensed Clinical Social Worker with 20 years of experience in mental health. I am passionate about helping adults, couples, and families understand themselves in an empowering and non-judgmental way, so they can envision and achieve the well-being they long for. I specialize in trauma, C-PTSD, women's issues, adult ADHD, life transitions, and anxiety.
I am a Licensed Clinical Social Worker with 20 years of experience in mental health. I am passionate about helping adults, couples, and families understand themselves in an empowering and non-judgmental way, so they can envision and achieve the well-being they long for. I specialize in trauma, C-PTSD, women's issues, adult ADHD, life transitions, and anxiety.
(610) 890-4474 View (610) 890-4474
Photo of Shannon Casey, MA, LPC, NCC, Licensed Professional Counselor
Shannon Casey
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Philadelphia, PA 19103  (Online Only)
I believe in meeting people where they are, perpetuating meaningful and supportive connection. I enjoy working with clients who are experiencing abuse, neglect, and trauma and who are suffering from the consequences of that trauma. I will help you understand your specific trauma responses and how to change them. You can find relief. You can heal. My goal is to support you in making changes in your life that will lead to positive outcomes and a fulfilling life.
I believe in meeting people where they are, perpetuating meaningful and supportive connection. I enjoy working with clients who are experiencing abuse, neglect, and trauma and who are suffering from the consequences of that trauma. I will help you understand your specific trauma responses and how to change them. You can find relief. You can heal. My goal is to support you in making changes in your life that will lead to positive outcomes and a fulfilling life.
(484) 240-2263 View (484) 240-2263
Photo of Augie Hermann, PhD, Psychologist
Augie Hermann
Psychologist, PhD
Verified Verified
Philadelphia, PA 19102
Are you feeling anxious, depressed or overwhelmed? Struggling with your relationships? We humans are wired for connection. When life's experiences damage those connections, we end up depressed, anxious, angry & unhappy, often turning to unhealthy lifestyles including alcohol, food, drugs & overspending. We suffer & our relationships suffer. Therapy allows time for exploring these disconnections & learning new skills for connecting to ourselves, others & the world, so we can live the life we want. I can help you clarify & work productively with these issues, develop your strengths, & experience a greater overall sense of well-being.
Are you feeling anxious, depressed or overwhelmed? Struggling with your relationships? We humans are wired for connection. When life's experiences damage those connections, we end up depressed, anxious, angry & unhappy, often turning to unhealthy lifestyles including alcohol, food, drugs & overspending. We suffer & our relationships suffer. Therapy allows time for exploring these disconnections & learning new skills for connecting to ourselves, others & the world, so we can live the life we want. I can help you clarify & work productively with these issues, develop your strengths, & experience a greater overall sense of well-being.
(215) 352-4798 View (215) 352-4798
Photo of Bridgett Bollin - Psychoanalytic Center of Philadelphia, Clinical Social Work/Therapist
Psychoanalytic Center of Philadelphia
Clinical Social Work/Therapist
Verified Verified
1 Endorsed
Philadelphia, PA 19121
Have you tried brief symptom focused therapy, only to have your problems return? Are you feeling stuck with longstanding patterns in your life? Psychodynamic therapy may be the change you are looking for. Since 1939, the Psychoanalytic Center of Philadelphia has promoted psychoanalytic training and practice. Through our Consultation & Referral Service, our members offer high quality therapy and psychoanalysis to the community. Through PCOP, you can be confident that your therapist has the training to provide you the kind of insightful therapeutic experience you're looking for.
Have you tried brief symptom focused therapy, only to have your problems return? Are you feeling stuck with longstanding patterns in your life? Psychodynamic therapy may be the change you are looking for. Since 1939, the Psychoanalytic Center of Philadelphia has promoted psychoanalytic training and practice. Through our Consultation & Referral Service, our members offer high quality therapy and psychoanalysis to the community. Through PCOP, you can be confident that your therapist has the training to provide you the kind of insightful therapeutic experience you're looking for.
(267) 619-7281 View (267) 619-7281
Photo of Nancy Bell, MS, LPC, Licensed Professional Counselor
Nancy Bell
Licensed Professional Counselor, MS, LPC
Verified Verified
Philadelphia, PA 19130
I am trained in object relations theory, but my experience as a high school counselor, family therapist and lawyer informs my flexible and practical approach. While offering a deep therapy experience that leads to enduring change and growth, I am mindful that patients need strategies to manage immediate concerns and feel relief during the change process. I approach patients with a belief that their early experiences and attachments have shaped the way they see themselves, how they approach relationships and what they expect from life. I seek to help patients develop new ways of relating that lead to healthier connections to others and increased autonomy.
I am trained in object relations theory, but my experience as a high school counselor, family therapist and lawyer informs my flexible and practical approach. While offering a deep therapy experience that leads to enduring change and growth, I am mindful that patients need strategies to manage immediate concerns and feel relief during the change process. I approach patients with a belief that their early experiences and attachments have shaped the way they see themselves, how they approach relationships and what they expect from life. I seek to help patients develop new ways of relating that lead to healthier connections to others and increased autonomy.
(267) 323-1224 View (267) 323-1224
Photo of Katie Lesher, PsyD, Psychologist
Katie Lesher
Psychologist, PsyD
Verified Verified
1 Endorsed
Philadelphia, PA 19119
If you feel stuck, ruminative, or disconnected from your own life, and are seeking an engaged and examined life, psychotherapy can help. I deeply enjoy empowering my patients to know themselves and those around them with greater nuance, depth and honesty. Rather than labeling symptoms in a medicalized, detached way, I work to help patients negotiate complex relationships with themselves and those around them. By identifying patterns and the ways we find ourselves "stuck", psychotherapy can help disentangle these impasses, offering a freer way of being in the world.
If you feel stuck, ruminative, or disconnected from your own life, and are seeking an engaged and examined life, psychotherapy can help. I deeply enjoy empowering my patients to know themselves and those around them with greater nuance, depth and honesty. Rather than labeling symptoms in a medicalized, detached way, I work to help patients negotiate complex relationships with themselves and those around them. By identifying patterns and the ways we find ourselves "stuck", psychotherapy can help disentangle these impasses, offering a freer way of being in the world.
(610) 708-0527 View (610) 708-0527
Photo of Rod White, PhD, MFT, MDiv
Rod White
PhD, MFT, MDiv
Verified Verified
Philadelphia, PA 19146
I enjoy the diversity of my clients, walking with adults of all ages and backgrounds. In 2011 I turned into the joys of psychotherapy as a second career. I see my main job as listening carefully, mirroring your process with empathy and helping you move toward the goals you set, whether they are about reaching deeper inside or moving into the practical steps you need to take next week. My experience and spirituality are assets you can rely on, but they will not direct your own process of understanding, healing and maturation.
I enjoy the diversity of my clients, walking with adults of all ages and backgrounds. In 2011 I turned into the joys of psychotherapy as a second career. I see my main job as listening carefully, mirroring your process with empathy and helping you move toward the goals you set, whether they are about reaching deeper inside or moving into the practical steps you need to take next week. My experience and spirituality are assets you can rely on, but they will not direct your own process of understanding, healing and maturation.
(215) 621-8762 View (215) 621-8762
Photo of Patricia Gherovici, PhD, Licensed Psychoanalyst
Patricia Gherovici
Licensed Psychoanalyst, PhD
Verified Verified
Philadelphia, PA 19146
In my practice I offer a welcoming setting and provide a safe space for your suffering or difficulties. When you speak about yourself to someone who is trained to listen and examine the circumstances that motivated your consultation, a change occurs. A psychoanalyst is a person trained to hear what is happening under the surface, and provides a place where you may speak and hear yourself differently. I have been working as a psychoanalyst and psychotherapist for 25 years and I have found that words can hurt, words can make people sick, but words can also save. Talking cures.
In my practice I offer a welcoming setting and provide a safe space for your suffering or difficulties. When you speak about yourself to someone who is trained to listen and examine the circumstances that motivated your consultation, a change occurs. A psychoanalyst is a person trained to hear what is happening under the surface, and provides a place where you may speak and hear yourself differently. I have been working as a psychoanalyst and psychotherapist for 25 years and I have found that words can hurt, words can make people sick, but words can also save. Talking cures.
(215) 642-8654 View (215) 642-8654
Photo of Kristin Vosburg, LCSW, LLC, Clinical Social Work/Therapist
Kristin Vosburg
Clinical Social Work/Therapist, LCSW, LLC
Verified Verified
1 Endorsed
Philadelphia, PA 19147
I am a Licensed Clinical Social Worker with over 30 years experience working with children, adolescents, adults and families. I enjoy partnering with clients to problem solve and support them through difficult times. I think it is important to look at each individual's environmental, physical and emotional health when formulating a treatment plan, and I work to provide practical strategies to help both the individual and their family.
I am a Licensed Clinical Social Worker with over 30 years experience working with children, adolescents, adults and families. I enjoy partnering with clients to problem solve and support them through difficult times. I think it is important to look at each individual's environmental, physical and emotional health when formulating a treatment plan, and I work to provide practical strategies to help both the individual and their family.
(267) 915-0007 View (267) 915-0007
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Narcissistic Personality (NPD) Therapists

What type of therapy is best for narcissistic personality disorder?

Narcissistic personality disorder (NPD) is best treated with talk therapy, which could involve cognitive behavioral therapy, dialectical behavior therapy, schema therapy, gestalt therapy, or similar approaches. A therapist will help a patient uncover the feelings that may drive their behavior and discover how to engage with themselves and those around them with greater empathy and understanding, fewer demands, and less defensiveness, with the goal of developing a more authentic sense of self that enables healthier relationships.

How do therapists treat NPD?

By developing a strong therapeutic relationship, and continually focusing patients on relationships, community, and connection, a therapist, through talk therapy, may be able to help someone with NPD change. In sessions, a therapist will help an individual achieve relief from their current stressors, including the treatment of co-occurring conditions such as anxiety or depression. A therapist may also help an individual to recognize unhealthy coping mechanisms, learn new ways of interacting with others, and eventually become able to feel and display empathy.

Can a narcissist be cured with therapy?

Therapy can be effective. After a serious setback or great loss, someone with NPD may be forced to recognize that they are not immune to life’s challenges. That can spur feelings of melancholy and depression that lead them to seek professional help. Once an individual decides to seek help, they have already taken a step that the majority of those with NPD never will. Still, people with NPD often quit therapy as they naturally resist feeling vulnerable, being challenged, or admitting to flaws.

How can you get narcissistic personality disorder treatment for someone?

It is notoriously difficult to convince someone with NPD to seek help. With their feelings of superiority, they may be unlikely to recognize or acknowledge that they have a problem, or that their problem is narcissism. Sometimes, they are aware that they are arrogant and that others resent them but they don’t see it as a problem because they are convinced of their superiority. People with NPD have trouble maintaining relationships, but family members and others who do feel close to them, and whose presence they value, may be able to encourage them to seek therapy.